Active NPI
Jayne Suva Wheeler, RDH
- Dental Hygienist
- Tigard, OR
National Provider Identifier
1154991990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H7714
- Practice address
- 7420 SW Hunziker Rd Ste F
Tigard, OR 97223-8242 - Phone
- (541) 514-3321
- NPI assigned
- Jun 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H7714 | OR | Primary |
Addresses
Primary practice location
7420 SW Hunziker Rd Ste F
Tigard, OR 97223-8242
Mailing address
11673 SW Nacira PL
Tigard, OR 97223-5306
Phone (541) 514-3321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H7714 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1154991990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11673 SW NACIRA PL",
"city": "TIGARD",
"state": "OR",
"postal_code": "972235306",
"telephone_number": "541-514-3321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7420 SW HUNZIKER RD STE F",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238242",
"telephone_number": "541-514-3321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "JAYNE",
"middle_name": "SUVA",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-24",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H7714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.